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E480
E480 – Triangular fibrocartilage complex repair
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E480 exclusively as an add-on fee when performing a formal TFCC repair in conjunction with the primary arthroscopic wrist procedure R682.
- Apply this code when the clinical documentation confirms a specific repair of the triangular fibrocartilage complex, distinguishing it from simple debridement or synovectomy.
Common Pitfalls
- Billing E480 without R682 on the same claim will result in an automatic rejection, as it is strictly defined as an add-on to that specific base procedure.
- Attempting to bill E480 for routine arthroscopic debridement of the TFCC is an audit risk, as it is intended for formal repair procedures only.
Billing Tips
- Ensure your operative report explicitly details the repair technique (e.g., suture configuration or anchor placement) to justify the E480 add-on fee over standard R682 debridement.
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